INBDE "additional information"

Protective co-contraction

-A form of masticatory muscle disorder -A CNS response to injury or threat of injury -Caused by altered sensory or proprioceptive/mechanoreceptive input, constant pain input, increased emotional stress, poorly fitting restoration, long dental appt., dental injection that traumatized tissue.

uses less Hg, higher early strength so less risk of fracture when you take off the matrix band

2 Advantages of unicompositional amalgam

prevent damage from parafunctional habits ptrevent trauma to perio involved teeth if there is doubt about the complete seating of condyle in fossa

3 indications for occlusal appliance

crepitation pain in muscles of mastication deviation of the mandible on opening

3 things patients with TMD disorders exhibit

submandibular gland

85-90% of salivary calculi occur in ___________ gland

Nonmaleficence

A dentist completed a root canal treatment but fails to inform the patient that the tooth needs a crown: which ethics code?

inflammatory disorders: capsilitis, retrodiscitis, synovitis structural altercations: ie: disc displacement

Arthrogenous types of oral facial pain

35-50% hydrogen peroxide

At what percent of hydrogen peroxide is a dental dam required for chairside whitening?

Sn leached out reacts with oxygen and chlorine to form Sn-O-Cl precipitates that seal open margins

How does amalgam seal its own margins

10-14 days. it hinders polymerizaton

How long after bleaching should you wait to do a composite/ resin? why?

Aimides have 2 I's. Esters have one I.

How to tell esters from amides

eugenol: inhibits polymerization

IRM is contraindicated for composite resotration. why

120 compressions per minute

In CPR what is the compressions per minute?

Methacholine, propranolol, midrodine

List 3 medications that shouldn't be taken with albuterol

diabetes, hypertension, overactive thyroid

List three contraindications for albuterol (Ventolin)

Clotrimazole / Antifungal

Lotrimin: what does it treat?

parotid (80%)

MC location for salivary gland tumor

submandibular (sublingual least common)

MC location for sialolithiasis

upward and backwards -it TRANSLATES in a downward and forward direction -deposition of bone at posterior ramus

Mandible grows in a ________ and ___________ direction

shorter irregular slower

Pts with dysfuctional or painful TMD disorders display chewing patterns that are: ______, _________ and _______

bacteriostatic: they inhibit protien production

Quinolone (Levoquine) MOA? bacteriostatic or cidal?

140 systolic and 90 diastolic

Stage II hypertension

Mercury, silver, tin and copper

The 4 metals in amalgam

nonmaleficence: do no harm

The duty to refrain from harming the pt. : keeping up with knowledge and skills: knowing ones limitations

nystatin

Treatment for atrophic candidiasis

tetracyclines

What antibiotic is contraindicated for a pregnant patient?

vitamin B (6) deficiency

What causes angular chelitis?

6.5% urea ( elevates the PH) of the local environment 3.5% hydrogen peroxid (which breaks down into water and oxygen)

What does carbamide peroxide break down into?

a buffering agent

What does pyrophosphate do?

MI

What happens with elevated ST waves?

ASA II

What is ASA for uncontrolled asthmatic pts?

Less than 120 and Less than 80

What is normal blood pressure?

120-129 and Les than 80

What is pre-hypertension

Lidocaine, prolocaine, topical anesthetics or pradasone

What is the clinical significance of methemglobinemia?

atrophic glossitis

What is the condition that leads to A smooth, glossy tongue that occurs with pernicious anemia? it also occurs with a loss of filliform papilla

nitroglycerin administered sublingal

What is the first choice if a pt develops MI in chair?

Rivaroxiban: factor Xa inhibitor: prevents blood clots

What is xarelto? MOA? purpose?

cytology test

What test reveals fungal hyphae?

10% carbamide peroxide

What whitining substance and percent is best for a pt with sensitive teeth?

Justice?

Which Dental ethics code?: a dentist coded a higher fee for a difficult patient

Justice?

Which ethical code?: a dentist refuses to treat a patient due to HIV status

zoledronic acid (Aredia)

Which osteoporosis medication has the highest risk for developing ONJ?

calcium concentration is higher in the submandibular gland than parotid (saliva pools in lower arch)

Why do stones form frequently in submandibular gland?

Sn has a higher affinity for Cu than Hg

Why is gamma 2 not created in a high copper amalgam mix

Gamma 2= Sn7Hg/ no copper to mix in

Why is the old GV black formula weak

it is an anhydrous formula that sucks moisture out of the tooth structure

Why would 35% carbamide peroxide be caustic to the gingiva?

counterclockwise (horizontal): closed or deep bite

_______ growth results in __________

clockwise: open bite

_______ skeletal growth (vertical) results in _________

6mo

after an MI how long before a dentist can provide elective dental procedure?

veracity/ truthfullness

be honest and trustworthy in dealings with people

Justice/ fairness

delivering dental care without predjudice: actively seek allies to help improve access to care for all

lateral pter. (superior head), suprahyoid, digastric

depressor/ opening muscles

no

does the curve of spee influence anterior guidance

veracity

during dental procedure, the dentist cuts his finger with a bur. the dentist did not tell the patient of the incidence. which of the following codes did the dentist violate?

beneficence

duty to do good and promote the pt's welfare:primary obligation is to the patient and public at large: delivery of timely care within bounds of circumstances

GI>RMGI>Giomer>compomer>composite

from greatest to least: list the release of fluoride release from these resins

it discludes the dentition in the posterior

how does a lateral pterygoid spasm affect the affected side?

causes premature contact of the anterior teeth

how is the the contralateral side affected during a lateral pterygoid spasm?

during the 1st 12 months

how long does it take to create the seal

2 weeks: flexible

how long should an avulsed tooth be splinted for? what type of splint?

sublingual

how should nitroglycerin be administered?

5mm is sticking out: you can take it out if embedded deep: refer

how to manage a needle break?

130-130 or 80-89

hypertension stage I

>180 and or >120

hypertensive crisis

pneumonia

indication of Levoquine (levofloxacin)?

CN V depresses mandible elevates hyoid when swallowing

innervation and action of anterior digastric muscle

CN VII depress mandible and elevates hyoid when swallowing?

innervation and action of posterior digastric muscle

bactericidal

is penicilin bactericidal or static

Yes

is teeth whitening contraindicated in pregnant or lactating patients?

palate

mc location for minor salivary gland tumor

30%

minimum O2 concentration with nitrous

morphology of the TMJ itself

most common etiology of a subluxation

myelosuppresion

most common side effect of chemotherapy

emotional stress

one of the most commonly recognized systemic factors for masticatory muscle disorders

lateral pterygoid or temporalis

pt has local muscle soreness after a IAN block: which muscle is involved?

yes

should the dentist biopsy on any lesion that is the basis of extreme concern to the patient (cancerphobia)?

penicillin and cephalosporins

that are the two types of beta lactam antibiotics

downward and forward. -bone resorption in anterior maxilla and - deposition of bone at the posterior tuberosity

the maxilla grows in a __________ and _________ direction

patient hx and clinical examination

the most important components of diagnosis in slavary gland disorders are _______ and _________

mastication, swallowing, speech. (i would've also added esthetics?)

the three major functions of the masticatory system.

claritromycin (biaxin)

what antibiotic is contraindicated with a statin?

myofascial pain, myositis, muscle spasm, muscle contracture

what are some myogenous types of orofacial pain?

Stage IV esphageal cancer

what cancer metastizes to the oral cavity?

administer albuterol

what do do if asthmatic has an attack

Gamma 1 ( Ag2Hg3) and Sn. (this new G1 doesn't fit into the hole left by dissolving G2, causes outward expansion)

what does Gamma 2 dissolve into?

occlusal film

what film is best for detecting a Lingual mandibular sialolith

collimation

what impacts the scatter of an x-ray beam?

dermatitis

what is a common allergic response to local anesthetics?

an autoimmune disease that causes hyperthyroidism

what is graves disease? what does it cause?

Methemoglobin results from the presence of iron in the ferric form instead of the usual ferrous form. This results in a decreased availability of oxygen to the tissues.

what is methemglobin?

bone marrow depression: leads to decrease in RBC

what is myelosuppression

curve of spee

what is the anteroposterior curve from mandibular canine along the buccal cusps of posterior teeth called?

400-499nm

what is the best wavelength for curing light

sialography

what is the gold standard in diagnosing salivary gland calculi?

2:3

what is the ideal crown to root ratio

tetanus

what is the most important vaccine for a trauma pt to have?

submandibular duct sialolith

what is this?

concussion

when a traumatic pediatric patient exhibits emesis and lethargy upon arriving at the dentist office, what could be the main cause?

clindamycin

which antibiotic causes C. Diff?

masseter, temporalis, medial pterygoid, inferior head of lateral pter.

which muscles elevate the mandible?